Organization
BAUER DENTAL AND ORTHODONTICS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN BAUER (PRESIDENT)
(312) 371-6831
Entity
Organization
Contact information
Practice address
1547 ORCHARD RD, WHEATON, IL 60189-7201
(312) 371-6831
Mailing address
1547 ORCHARD RD, WHEATON, IL 60189-7201
(312) 371-6831
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019026380
IL
Other
Enumeration date
03/07/2007
Last updated
05/24/2012
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